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Care Initiatives

EIN 76-0262402 · Wdm, IA

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthFair50 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

IMPROVING QUALITY OF LIFE FOR IOWANS AND THEIR FAMILIES DURING LIFE'S HEALTH TRANSITIONS THROUGH COMPASSIONATE INDIVIDUALIZED CARE.

Income
$271.9 million
Spending
$265.4 million
Spent on programs
92%
Reserves
-0.2 months of spending
Largest source of income
fees for its services, 99%
Employees
5,686
Volunteers
117
Highest pay
$756,826, president/ceo/vice chair

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Fair: 50 out of 100. Higher than 31% of charities in its peer group (health care, over $100m).

  • Reserves

    0 of 35

    Spendable reserves are negative: it owes or has committed more than it holds.

  • Debt

    5 of 20

    It owes 57% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 2% of income.

  • Income trend

    15 of 15

    Income rose 4% on the year before.

  • Spending floor

    15 of 15

    92% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 53% of charities in its peer group (health care, over $100m).

  • Independent board

    25 of 25

    7 of 8 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (1)
  1. $243.6 million spent. DURING 2024, CARE INITIATIVES PROVIDED SERVICES TO A DAILY AVERAGE OF 2,269 INDIVIDUALS IN 43 SKILLED NURSING CARE LOCATIONS, TWO ASSISTED LIVING LOCATIONS AND SEVEN INDEPENDENT LIVING LOCATIONS. CARE INITIATIVES PROVIDES QUALITY HEALTH CARE, AT THE LOWEST POSSIBLE COST TO OUR RESIDENTS AND PATIENTS. SERVICES PROVIDED INCLUDE LODGING, NUTRITIOUS MEALS, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, ENGAGING ACTIVITIES TO MAINTAIN THE HIGHEST PHYSICAL AND MENTAL QUALITY OF LIFE ATTAINABLE. ADDITIONAL SERVICES INCLUDE OCCUPATIONAL, SPEECH AND PHYSICAL THERAPY, OUTPATIENT THERAPY SERVICES, SKILLED NURSING CARE, SENIOR LIVING APARTMENTS AND ASSISTED LIVING LOCATIONS. IN ADDITION, CARE INITIATIVES HAS INITIATED A PROGRAM OF REHAB TO HOME CARE TO PROVIDE INDIVIDUALS THE OPPORTUNITY TO SAFELY RETURN TO THEIR HOMES. IN ADDITION, CARE INITIATIVES PROVIDES LIMITED OUTPATIENT THERAPY SERVICES IN THE COMMUNITIES IT SERVES.DURING 2024, CARE INITIATIVES ALSO PROVIDED HOSPICE SERVICES TO A DAILY AVERAGE OF 376 PATIENTS THROUGH SEVEN HOSPICE LOCATIONS. CARE INITIATIVES HOSPICE PROVIDES COORDINATED CARE WITH COMPASSION, RESPECT AND DIGNITY TO PATIENTS AND THEIR FAMILIES EXPERIENCING SERIOUS ILLNESS AND GRIEF FOR A LOVED ONE. SOME OF THE SERVICES PROVIDED INCLUDE NURSING CARE, PHYSICIAN CARE, PHYSICAL AND SPEECH THERAPY, MASSAGE THERAPY, MUSIC THERAPY, SPIRITUAL SUPPORT, RESPITE CARE AND BEREAVEMENT SUPPORT.CARE INITIATIVES IS THE LARGEST NONPROFIT SKILLED NURSING PROVIDER FOR MEDICAID RESIDENTS IN IOWA. IN 2024, A DAILY AVERAGE OF 1,364 RESIDENTS PARTICIPATED IN THE MEDICAID PROGRAM. CARE INITIATIVES' COST FOR THESE RESIDENTS EXCEEDED REVENUE BY $25,233,000. NO RESIDENT IS DENIED A MEDICATION, NURSING SUPPLY OR THERAPY, REGARDLESS OF THEIR ABILITY TO PAY.CARE INITIATIVES HAS A HISTORY OF MODERNIZATION AND REPLACEMENT OF NURSING FACILITIES. SINCE INCEPTION, CARE INITIATIVES HAS INVESTED MORE THAN $147 MILLION TO MODERNIZE ITS COMMUNITIES. SINCE INCEPTION, CARE INITIATIVES HAS INVESTED MORE THAN $111 MILLION IN FOURTEEN NEW REPLACEMENT FACILITIES THROUGHOUT IOWA.CARE INITIATIVES PROMOTES ECONOMIC DEVELOPMENT IN THE COMMUNITIES WE SERVE BY ADDRESSING HOUSING, EMPLOYMENT, EDUCATIONAL OR ENVIRONMENTAL NEEDS AND CONCERNS. IN 2024, CARE INITIATIVES CONTRIBUTED TO OUR LOCAL COMMUNITIES BY PAYING PROPERTY TAX OF $2.52 MILLION. IN MANY COMMUNITIES WE SERVE, CARE INITIATIVES IS AMONG THE LARGEST EMPLOYERS.CARE INITIATIVES SUPPORTS OUR COMMUNITY VOLUNTEERS WHO PROVIDED 6,093 HOURS TO HELP OUR RESIDENTS AND PATIENTS. USING THE INDEPENDENT SECTOR'S ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME, THE ESTIMATED VALUE OF VOLUNTEER TIME TOTALED APPROXIMATELY $182,556.CARE INITIATIVES' CONTINUUM OF CARE EXTENDED INTO THE COMMUNITIES IT SERVES BY PROVIDING REDUCED OR NO-FEE SERVICES SUCH AS MEALS-ON-WHEELS, MEALS FOR COUNTY JAILS, EDUCATIONAL SERVICES AND PUBLIC AWARENESS PROGRAMS.IN 2024, $16,281 IN CHARITABLE CONTRIBUTIONS WERE MADE TO SUPPORT CHARITABLE ORGANIZATIONS THAT FURTHER CARE INITIATIVES' NONPROFIT MISSION.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending December 2024.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since March 1989.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.